Introduction: The Financial Backbone of Texas Healthcare

Texas, home to some of the most advanced and expansive healthcare facilities in the U.S., boasts a thriving hospital ecosystem. From sprawling academic medical centers in Houston and Dallas to high-capacity regional hospitals, Texas facilities handle millions of patients annually. Understanding net patient revenue helps reveal which institutions dominate financially—and why that matters for vendors, suppliers, marketers, and healthcare strategists.

Net patient revenue (NPR) is a key metric representing income hospitals earn from patient care services, excluding bad debt, charity care, and contractual adjustments. High NPR often signals large patient volumes, complex specialties, and strong operational performance.

If you’re in healthcare sales, data targeting, or medical technology, these revenue leaders are crucial targets for engagement.

What is Net Patient Revenue and Why It Matters

Definition:

Net patient revenue is the amount a hospital actually collects from patient services after insurance discounts, charity care, and other adjustments are deducted. It’s not the same as gross revenue or total hospital earnings.

Why It’s Important:

  • Reflects real-world financial performance.
  • Indicates the scale of operations and patient volumes.
  • Helps identify institutions with significant purchasing power.
  • Vital for healthcare marketers targeting hospitals based on economic value and service capacity.

For vendors and healthcare marketers, targeting hospitals with high NPR increases the chances of engaging organizations that are actively investing in new technologies, services, and products.

The Texas Healthcare Landscape

Texas has over 650 hospitals, making it one of the largest hospital markets in the U.S. The state’s population exceeds 30 million, with major urban hubs like Houston, Dallas, Austin, and San Antonio serving as national centers for trauma care, research, oncology, cardiology, and more.

Notable Facts:

  • Home to the Texas Medical Center in Houston, the largest medical complex in the world.
  • Hosts multiple nationally ranked hospitals such as UT Southwestern, Houston Methodist, and Baylor Scott & White.
  • Diverse payer mix due to large Medicare, Medicaid, and uninsured populations.

These factors contribute to Texas hospitals generating billions in net patient revenue annually, supporting high-volume and specialty care.

Methodology Behind the Rankings

These rankings are based on the latest available net patient revenue data collected from CMS Cost Reports, state-level hospital data, and hospital financial disclosures for fiscal years 2023 or early 2024. Only acute care hospitals are considered, excluding rehabilitation or psychiatric-only facilities.

Ranking criteria:

  • Net Patient Revenue (not total revenue)
  • Acute and general medical facilities only
  • Must be licensed and operational in Texas

5. Top 20 Hospitals in Texas by Net Patient Revenue

RankHospital NameCityNet Patient Revenue (in $ Billion)Bed CountHealth System Affiliation
1Houston Methodist HospitalHouston$3.781,100Houston Methodist
2UT Southwestern Medical CenterDallas$3.45900University of Texas
3Baylor University Medical CenterDallas$3.121,025Baylor Scott & White Health
4Memorial Hermann-Texas Medical CenterHouston$2.981,058Memorial Hermann Health System
5Texas Health Presbyterian Hospital DallasDallas$2.75900Texas Health Resources
6St. David’s Medical CenterAustin$2.54600HCA Healthcare
7Medical City Dallas HospitalDallas$2.49876HCA Healthcare
8Methodist HospitalSan Antonio$2.42983Methodist Healthcare System
9Baylor St. Luke’s Medical CenterHouston$2.35881CommonSpirit Health
10Dell Seton Medical Center at The UniversityAustin$2.27520Ascension Seton
11Parkland Memorial HospitalDallas$2.14870Dallas County Hospital District
12Texas Children’s HospitalHouston$2.08973Independent
13University Health SystemSan Antonio$1.96641University Health
14CHRISTUS Santa Rosa Hospital – Medical CenterSan Antonio$1.82500CHRISTUS Health
15HCA Houston Healthcare Clear LakeWebster$1.74531HCA Healthcare
16Baylor Scott & White Medical Center – TempleTemple$1.63636Baylor Scott & White Health
17Texas Health Harris Methodist Hospital FWFort Worth$1.59726Texas Health Resources
18MD Anderson Cancer CenterHouston$1.51700+University of Texas
19Methodist Dallas Medical CenterDallas$1.45595Methodist Health System
20HCA Houston Healthcare Medical CenterHouston$1.39400HCA Healthcare

In-Depth Look at the Top 5 Hospitals

1. Houston Methodist Hospital (Houston)

The financial leader in Texas, Houston Methodist boasts a strong patient base, nationally ranked specialties (especially in cardiology, neurology, and oncology), and world-class facilities in the Texas Medical Center.

2. UT Southwestern Medical Center (Dallas)

This academic powerhouse drives high revenue through research, education, and complex procedures, making it a vital referral center in the Southwest.

3. Baylor University Medical Center (Dallas)

One of the oldest hospitals in Texas, Baylor combines scale, specialty care, and teaching to generate consistently high patient revenue.

4. Memorial Hermann – Texas Medical Center (Houston)

A key trauma and transplant center, this hospital is central to Memorial Hermann’s vast regional network.

5. Texas Health Presbyterian Hospital Dallas

Part of Texas Health Resources, this hospital’s strategic location and comprehensive care services drive its significant NPR.

7. Regional Patterns and Market Insights

Metro Hubs Dominate:

  • Dallas and Houston account for over half of the top 20 hospitals.
  • These cities have larger populations, advanced research centers, and more referrals.

System Consolidation Matters:

  • HCA Healthcare, Baylor Scott & White, and Texas Health Resources own multiple hospitals on this list.
  • Scale and integrated delivery networks drive patient flow and increase revenue.

Pediatric and Specialty Care:

  • Texas Children’s and MD Anderson rank high due to specialized services and national referrals.

Why This Data Matters to Marketers & Vendors

For healthcare B2B companies, knowing which hospitals lead in net patient revenue helps define a target-rich environment. These institutions are:

  • Well-funded and growth-oriented
  • Constantly upgrading technologies and facilities
  • Likely to engage with vendors offering innovation in EHR, diagnostics, devices, staffing, and services

Using tools like Ampliz Healthcare Intelligence, you can:

  • Get verified contact data of hospital executives
  • Segment by financial metrics like NPR or bed count
  • Build personalized outreach campaigns for better ROI

Conclusion: Targeting the Top Revenue Generators in Texas

Texas continues to be a central player in the U.S. healthcare economy. The top 20 hospitals by net patient revenue demonstrate strong financial performance, patient care delivery, and influence across specialties.

If you’re aiming to sell to hospitals, market healthcare products, or connect with hospital leadership, these revenue leaders should be your top priority.

Ready to Reach These Top Hospitals?

Access verified contact data of C-level executives, procurement heads, and hospital department leaders with Ampliz. Our healthcare intelligence platform helps you:

  • Build custom hospital lists by revenue, specialty, or geography
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  • Drive precision marketing to top healthcare facilities

👉 Start your outreach with Ampliz today.